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CTRI Number  CTRI/2022/07/044274 [Registered on: 22/07/2022] Trial Registered Prospectively
Last Modified On: 21/07/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Siddha 
Study Design  Single Arm Study 
Public Title of Study   Effect of Pala Madakku Thailam (Internal Medicated Oil) on Osteoporosis 
Scientific Title of Study   An Open, Non-Randomized, Single Arm, Single Centric Clinical Trial To Evaluate The Effectiveness Of Pala (Citramutti) Madakku Thailam In The Management Of Asthi Vatham (Osteoporosis) Among Out-Patients Attending Ayothidoss Pandithar Hospital, National Institute Of Siddha 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Thanigainathan A 
Designation  PG Scholar 
Affiliation  National Institute of Siddha 
Address  Room No 1, Department of Maruthuvam, National Institute of Siddha, Tambaram Sanatorium

Kancheepuram
TAMIL NADU
600047
India 
Phone  9489368257  
Fax    
Email  atn1267@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr T Lakshmikantham MDS PhD 
Designation  Associate Professor & HoD (i/c) 
Affiliation  National Institute of Siddha 
Address  Room No 1, Department of Maruthuvam, National Institute of Siddha, Tambaram Sanatorium

Kancheepuram
TAMIL NADU
600047
India 
Phone  9444466880  
Fax    
Email  drlakshmiramaswamy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Thanigainathan A 
Designation  PG Scholar 
Affiliation  National Institute of Siddha 
Address  Room No 1, Department of Maruthuvam, National Institute of Siddha, Tambaram Sanatorium

Kancheepuram
TAMIL NADU
600047
India 
Phone  9489368257  
Fax    
Email  atn1267@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Siddha 
 
Primary Sponsor  
Name  National Institute of Siddha 
Address  National Institute of Siddha, Tambaram Sanatorium, Chennai 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Thanigainathan A  Ayothidoss Pandithar Hospital  Room No 1, Department of Maruthuvam, National Institute of Siddha, Tambaram Sanatorium
Kancheepuram
TAMIL NADU 
9489368257

atn1267@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethics Committee, National Institute of Siddha  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M818||Other osteoporosis without currentpathological fracture,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Pala (Citramutti) Madakku Thailam (Medicated Oil)  15 to 30 drops BD Internal with milk for 90 days 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Bone Mineral Density T-Score less than – 1 will be included. 
 
ExclusionCriteria 
Details  1. K/H/O Renal / Hepatic / cardiac disease
2. K/H/O Prolonged glucocorticoid administration
3. K/H/O Genetic or autoimmune disorders
4. All cases of Secondary Osteoporosis including K/H/O Cushing’s syndrome, K/H/O Hyperparathyroidism. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The outcome of the study will be assessed by using the
1. Bone Mineral Density Scan (Peripheral DXA Scan) T Score before and after treatment.
2. Improvement in Clinical symptoms before and after treatment. 
Screening - 2 months
Enrolment - 2 months
Intervention - 4 months
Data Analysis - 2 months
Follow up - 2 months 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   25/07/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Introduction:

This is an open Non Randomised clinical trial that evaluates therapeutic effectiveness of siddha formulation Pala (Citramutti) Madakku Thailam in the management of Asthi vatham (Osteoporosis) patients through improvement of T scores in Bone Mineral Densitometer Scan before and after treatment. Worldwide, it is estimated that 1 in 3 women above the age of 50 will experience osteoporotic fractures, as well as 1 in 5 men. According to the Siddha, Asthivatham (Osteoporosis) can be treated using the trial drug. The major ingredient Sida cordifolia were found to be effective in increasing the bone density in patients with  osteoporosis in several studies. It also has rich source of phytoestrogens which inhibit bone resorption and negate the bone resorption effects. Milk is an excellent calcium source and also suppresses the bone resorption in Osteoporosis. Sesamum indicum also exhibits pro-osteoblastic and anti-osteoclastic activity.

Objective: To evaluate the therapeutic effectiveness of Pala (Citramutti) Madakku Thailam in the management of Asthi vatham (Osteoporosis) using T scores of Bone Mineral Densitometer Scan before and after treatment.

Materials and Methods: An Open Non Randomised Clinical Trial with a total of 10 patients diagnosed of Asthi vatham (Osteoporosis) with age of above 40 years willing to participate in the study ,by signing the informed consent form will be enrolled in the study. The trial drug will be given for 90 days along with 1 month follow up.

Result: The average T scores before and after treatment will be statistically analysed.

Keywords: Pala Madakku Thailam, Osteoporosis

 
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